go back

Removal of the Bone End Behind the Big Toe

Montana rates for HCPCS 28111

Removes the whole rounded head of the first metatarsal — the end of the long foot bone that forms the joint at the base of the big toe. It is done when that bone end has been destroyed by severe arthritis, infection, or deformity and cannot be saved or simply trimmed. Taking it out relieves pain and pressure under the ball of the foot.

Rates data updated October 2026.

How much does Removal of the Bone End Behind the Big Toe cost?

$1,233

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $1,233 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $708 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$501 to $741
Facility feeThe hospital or surgery center$708$513 to $813

How much rates vary

Facilitymedian $708 · 10th to 90th $501 to $2,239Professionalmedian $525 · 10th to 90th $331 to $813
$100$200$500$1K$2K$5Kfacility $708professional $525

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$457.09
Typical High
$707.95
BCBS
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$741.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$2,630.27
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$549.54
Typical High
$741.31
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$602.56
Typical High
$870.96
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$524.81
Typical High
$870.96
Providence
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$2,630.27
Typical High
$7,585.78
Providence
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$501.19
Typical High
$758.58
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$645.65
Typical High
$891.25

Where Montana sits

The same service costs 5.2 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Montana· 51st of 51

$1,233

$525 physician + $708 facility

CO $6,390MT $1,233

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.